BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC; NPI #1609041086

Contact Information

BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC

500 14TH ST
ASHLAND, KY 41101-2622

Phone: 606-324-3668
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC

NPI Number 1609041086

LBN Legal business name BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC

Authorized official BRIAN BAILEY - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/25/2008

Last updated 03/06/2020 - About 6 years ago

Identifiers

KY	License #	00305
KY	Medicaid	80000540
KY	Medicaid	9001061200
OH	Medicaid	2549086
WV	Medicaid	3810002375

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC

Reviews for BODY-MIND-SPIRIT PODIATRIC CENTER, PLLC